PEDIATRIC CARDIOLOGY SERVICES LLC
NPI 1467613232
Pediatrics - Pediatric Cardiology in Conyers, GA

Active since June 24, 2008
1380 MILSTEAD AVE NE, SUITE J, CONYERS, GA 30012(770) 995-6684(770) 995-7631 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Cardiology Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC CARDIOLOGY SERVICES LLC (NPI 1467613232) is a healthcare organization registered as a pediatric cardiology in Conyers, Georgia and active in the NPI registry since June 2008. The organization lists Kim Woody, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1467613232
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePEDIATRIC CARDIOLOGY SERVICES LLC
Location Address1380 MILSTEAD AVE NE, SUITE JConyers, GA 30012-3864
Mailing Address500 Medical Center Blvd, Suite 340Lawrenceville, GA 30045 · (770) 995-6684 · Fax (770) 995-7631
Fax(770) 995-7631
Organization SubpartNo
Authorized OfficialKim WoodyPractice Administrator · (770) 995-6684
Enumeration DateJune 24, 2008
NPI 1467613232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in GA · 043298
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1380 MILSTEAD AVE NE, Conyers, GA 30012

Other Identifiers 2

Medicaid00740891AGA
Medicaid000326873GGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1380 MILSTEAD AVE NE, STE C
CONYERS, GA 30012
Internal Medicine (Gastroenterology)
1380 MILSTEAD AVE NE, STE C
CONYERS, GA 30012
Obstetrics & Gynecology (Obstetrics)
1380 MILSTEAD AVE NE
CONYERS, GA 30012
Obstetrics & Gynecology
1380 MILSTEAD AVE NE, SUITE F
CONYERS, GA 30012
Specialist
1380 MILSTEAD AVE NE, SUITE B
CONYERS, GA 30012
Hospice Care, Community Based
1380 MILSTEAD AVE NE, SUITE H
CONYERS, GA 30012
Obstetrics & Gynecology (Gynecology)
1380 MILSTEAD AVE NE, SUITE E
CONYERS, GA 30012
Internal Medicine (Cardiovascular Disease)
1380 MILSTEAD AVE NE, SUITE E
CONYERS, GA 30012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Cardiology Services LLC's NPI number?

The NPI number for Pediatric Cardiology Services LLC is 1467613232. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Pediatric Cardiology Services LLC located?

Pediatric Cardiology Services LLC is located at 1380 Milstead Ave NE Suite J, Conyers, GA 30012. The listed phone number is (770) 995-6684.

What is Pediatric Cardiology Services LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Pediatric Cardiology Services LLC was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.